Individual
CORINNA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
2020 WILLARD AVE SE, WARREN, OH 44484-5061
(330) 675-8700
Mailing address
304 GREENBRIAR DR, CORTLAND, OH 44410-1615
(330) 719-6514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9795
SPEECH LICENSE
OH
Enumeration date
06/08/2011
Last updated
08/17/2022
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